Dr Kenneth Lee Crandell, DC - Chiropractor in Portland, OR

Dr Kenneth Lee Crandell, DC is a Chiropractor based in Portland, Oregon. Dr Kenneth Lee Crandell is licensed to practice in Oregon (license number 1923) and his current practice location is 11657 Ne Glisan, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 252-5118.

NPI number for Dr Kenneth Lee Crandell is 1225066632 and his current mailing address is 11657 Ne Glisan, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225066632.

Contact Information

Dr Kenneth Lee Crandell, DC
11657 Ne Glisan,
Portland, OR 97220
(503) 252-5118
(503) 252-3199

Map and Direction




Healthcare Provider's Profile

Full NameDr Kenneth Lee Crandell
GenderMale
SpecialityChiropractor
Location11657 Ne Glisan, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225066632
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 11/16/2011

Medical Identifiers

Medical identifiers for Dr Kenneth Lee Crandell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225066632NPI-NPPES
072702MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 1923 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Lee Crandell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Lee Crandell, DC
11657 Ne Glisan,
Portland, OR 97220

Ph: (503) 252-5118
Dr Kenneth Lee Crandell, DC
11657 Ne Glisan,
Portland, OR 97220

Ph: (503) 252-5118

Reviews and Comments


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